title: [Factors involved in noncompliance with drug treatment in non-insulin dependent diabetes mellitus].
abstract: OBJECTIVE
  To find the level of non-compliance with treatment with oral hypoglycemics, its causes and the profile of non-compliant patients.
  
  
  METHODS
  Prospective study.
  
  
  METHODS
  Primary Care Centres in the province of Alicante.
  
  
  METHODS
  107 diabetics not dependent on insulin on the lists of five General Medicine practices and all receiving pharmacological treatment.
  
  
  RESULTS
  The method used to value compliance was a surprise count of pills in the patient's home. Patients achieving 80-110% compliance were considered compliant. The level of non-compliance was 51.5% (C.I. 42.1%-61%), 36.5% being hypocompliers and 15% hypercompliers. Forgetting (40.7%) and lack of knowledge (29.5%) were the most frequent reasons for non-compliance. The factors associated with non-compliance were: over four years evolution of the disease (p = 0.02), the diet not properly observed (p = 0.03), over a year in regular treatment (p = 0.006), poor control of the disease valued by HbA1C (p = 0.003).
  
  
  CONCLUSIONS
  A high level of non-compliance with pharmacological treatment was found for patients with Diabetes Mellitus not dependent on insulin. Its causes were identified and factors associated with poor compliance were profiled.
authors.affiliation: Departamento de Medicina, Universidad de Alicante.
authors.forename: F
authors.initials: F
authors.lastname: Piñeiro
authors.forename: V
authors.initials: V
authors.lastname: Gil
authors.forename: M
authors.initials: M
authors.lastname: Donis
authors.forename: M T
authors.initials: MT
authors.lastname: Torres
authors.forename: D
authors.initials: D
authors.lastname: Orozco
authors.forename: J
authors.initials: J
authors.lastname: Merino
mesh_terms: D000368:Aged; D003627:Data Interpretation, Statistical; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D003927:Diet, Diabetic; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D011320:Primary Health Care; D011446:Prospective Studies; D013997:Time Factors; D016312:Treatment Refusal
chemical_list: D007004:Hypoglycemic Agents
vernacular_title: Factores implicados en el incumplimiento del tratamiento farmacológico en la diabetes no insulinodependiente.